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Cancer Therapy: Clinical |

Authors' Affiliations: 1 Integrated Biological Sciences Graduate Program, 2 Human Cancer Genetics Program, Department of Molecular Virology, Immunology, and Medical Genetics, 3 Department of Internal Medicine, 4 Center for Biostastistics, and 5 Department of Surgery, The Ohio State University Comprehensive Cancer Center, Columbus, Ohio
Requests for reprints: William E. Carson III, Department of Surgery, The Ohio State University, N924 Doan Hall, 410 West 10th Avenue, Columbus, OH 43210. Phone: 614-293-6306; Fax: 614-293-3465; E-mail: william.carson{at}osumc.edu.
Purpose: The precise molecular targets of IFN-
therapy in the context of malignant melanoma are unknown but seem to involve signal transducers and activators of transcription 1 signal transduction within host immune effector cells. We hypothesized that the in vitro transcriptional response of patient peripheral blood mononuclear cells (PBMC) to IFN-
would be similar to the in vivo response to treatment with high-dose IFN-
.
Experimental Design: The gene expression profiles of PBMCs and immune cell subsets treated in vitro with IFN-
were evaluated, as were PBMCs obtained from melanoma patients receiving adjuvant IFN-
.
Results: Twenty-seven genes were up-regulated in PBMCs from normal donors after treatment with IFN-
in vitro for 18 hours (>2-fold, P < 0.001). A subset of these genes (in addition to others) was significantly expressed in IFN-
–treated T cells, natural killer cells, and monocytes. Analysis of gene expression within PBMCs from melanoma patients (n = 13) receiving high-dose IFN-
-2b (20 MU/m2 i.v.) revealed significant up-regulation (>2-fold) of 21 genes (P < 0.001). Also, the gene expression profile of in vitro IFN-
–stimulated patient PBMCs was similar to that of PBMCs obtained from the same patient after IFN-
therapy.
Conclusions: This report is the first to describe the transcriptional response of T cells, natural killer cells, and monocytes to IFN-
and characterize the transcriptional profiles of PBMCs from melanoma patients undergoing IFN-
immunotherapy. In addition, it was determined that microarray analysis of patient PBMCs after in vitro stimulation with IFN-
may be a useful predictor of the in vivo response of immune cells to IFN-
immunotherapy.
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